FORMEQ-1               EMPLOYER’SQUARTERLYRETURN            OFLICENSEFEEWITHHELD       

                    CITYOFRICHMOND 
                    FINANCEDEPARTMENT                            FOR          PERIOD ENDED  DUEONORBEFORE
                    P.O.BOX1268  
                    RICHMOND,KY40476-1268 
                    (859)623-1000
                    www.richmond.ky.us                                 CITYOCCUPATIONALACCOUNTNUMBER

     RETURN SERVICE REQUESTED
                                                                                     MEMOTOTAXPAYER
                                                                 THIS RETURN MUST BE FILED WHETHER YOU HAD
                                                                    PAYROLL OR NOT DURING THIS PERIOD
                                                                 LINE 1 MUST BE COMPLETED BY ALL TAXPAYERS

1. Number Of Paid Individuals In Last City of Richmond Payroll

2. TotalGrossSalaries,Wages,CommissionsandOtherCompensationPaid
3. LessCompensationPaidForServices OutsideCityofRichmond   
4. TaxableEarnings(Line1MinusLine2)2  3
5. CityTaxDue(Line3x    4 2.0%)
6. LessCreditsorPrepayments
7. NetTaxesDueOnorBeforeDueDate(Line4MinusLine5)5    6
8. Interest-12 %peranumafterduedate
9. PenaltyP- 5 % of tax due per month or fraction of month not 
   to exceed 25 % of total tax due however, not less than $25.00
10.TOTALTAX,PENALTYANDINTEREST
Iherebycertifythatthisinformationistrueandcorrect:

NAME                                     TITLE                   PHONE                     DATE

                                 INSTRUCTIONS TO TAXPAYER

Payment should be made payable to: 

CITY OF RICHMOND
P.O. BOX 1268
RICHMOND, KY 40476-1268

Our office hours are 8:00 a.m. to 4:00 p.m., Monday through Friday.

If this business has changed address, ownership, or tax entity, notify this office immediately.

The employer must submit a reconciliation of gross wages and taxes filed with the City on or before the
last day of February of each year.

Please make a copy to retain for your records.